Healthcare Provider Details

I. General information

NPI: 1992470272
Provider Name (Legal Business Name): ADNAN SHARIFF, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 W PALMETTO PARK RD STE 18
BOCA RATON FL
33433-3462
US

IV. Provider business mailing address

235 NE 19TH DR
OKEECHOBEE FL
34972-1933
US

V. Phone/Fax

Practice location:
  • Phone: 561-447-7571
  • Fax:
Mailing address:
  • Phone: 863-357-1166
  • Fax: 863-357-0424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: ADNAN SHARIFF
Title or Position: PRESIDENT
Credential: DPM
Phone: 863-357-1166